Active NPI
Therese Ann Moreno, PLMSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1477071611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-11743
- Practice address
- 912 1St St NW
Albuquerque, NM 87102-2355 - Phone
- (505) 224-9777
- Fax
- (505) 244-9779
- NPI assigned
- Sep 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | X10178 | NM | |
| Clinical Social Worker | 1041C0700X | C-11743 | NM | Primary |
Addresses
Primary practice location
912 1St St NW
Albuquerque, NM 87102-2355
Mailing address
912 1St St NW
Albuquerque, NM 87102-2355
Phone (505) 224-9777
Other practice location 1
1625 Rio Bravo Blvd SW Ste 36
Albuquerque, NM 87105-6060
Phone (505) 777-3004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3916 Augusta Dr SE
Rio Rancho, NM 87124-8246
Phone (505) 903-9510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-11743 | NM | MD | Clinical Social Worker |
| X10178 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke City Recovery Toolbox LLC | Current | Accepting new patients | |
| Duke City Recovery Toolbox LLC | Current | Accepting new patients | |
| Mended House Counseling | Current | Accepting new patients |
Locations
912 1st St NW
Albuquerque, NM 87102
Phone (505) 224-9777
1909 29th St SE
Ste D
Rio Rancho, NM 87124
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Rio Rancho, NM
- NPI 1467024992
-
- General Practice Physician
- Albuquerque, NM
- NPI 1528313228
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1780948885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1477071611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 1ST ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022355",
"telephone_number": "505-224-9777",
"fax_number": "505-244-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 1ST ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022355",
"telephone_number": "505-224-9777",
"fax_number": "505-244-9779"
}
],
"practiceLocations": [
{
"address_1": "1625 Rio Bravo Blvd SW Ste 36",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871056060",
"country_code": "US",
"telephone_number": "505-777-3004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "THERESE",
"middle_name": "ANN",
"credential": "PLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X10178",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-11743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.